# BIOTECH X-RAY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIOTECH X-RAY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790921088
- **Legal business name:** BIOTECH X-RAY, INC.
- **Authorized official:** MRS. TAMARA BISHOP SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (314) 449-1669

## Contact information

- **Practice address:** 1065 EXECUTIVE PARKWAY DR STE 220, SAINT LOUIS, MO 63141-6367
- **Practice address phone:** (314) 548-2900
- **Practice address fax:** (314) 548-2920
- **Mailing address:** 1065 EXECUTIVE PARKWAY DR STE 220, SAINT LOUIS, MO 63141-6367
- **Mailing address phone:** (314) 548-2900
- **Mailing address fax:** (314) 548-2920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 000047082 | MO | Yes |
| 293D00000X | Physiological Laboratory | 216464 | IL | — |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 08/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000047082 | MEDICARE PTAN | MO |
| 01 | — | 216464 | MEDICARE PTAN | IL |